- MyFlorida (Orlando, FL)
- …that is responsible for investigation, calculation and recovery of overpayment claims for public assistance programs (Temporary Cash Assistance, Food Assistance, ... is responsible/liable and reason for the overpayment. Accurately establishes overpayment claims and the dollar amount of overpayments eligible for recoupment, based… more
- CareFirst (Baltimore, MD)
- …contract development and negotiations with smaller provider practices based on claims and market analysis. + Supports negotiations, development of strategy, market ... for institutional, ancillary and professional providers, including implementation oversight. Uses claims and code data to draft and negotiate fixed-price and cost… more
- ICW Group (CA)
- …stakeholders in conducting research or accident investigations to sustain claims and underwriting initiatives. + Identifies and quantifies Workers' Compensation ... and thorough execution of formal service plans. + Collaborates with underwriting and claims teams to develop, draft and present large account service proposals. +… more
- US Physical Therapy (Garden City, NY)
- …join our Garden City team! This role is essential in ensuring accurate claims management, timely collections, and smooth patient billing processes. **Why You'll Love ... growth in revenue cycle management! **What You'll Do** + Manage commercial insurance claims from submission through payment + Follow up on denials, rejections, and… more
- Sedgwick (Indianapolis, IN)
- …rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability to ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Walmart (Janesville, WI)
- …area in accordance with company policies and procedures by properly handling claims and returns; utilizing equipment to perform a variety of merchandising functions ... fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible images; alerting patients to inventory that is… more
- Robert Half Accountemps (York, ME)
- …basis. This role involves working with healthcare billing processes, reviewing insurance claims , and ensuring accurate coding practices. Based in York, Maine, this ... billing field. Responsibilities: * Manage the daily processing of medical claims , ensuring accuracy and compliance with billing regulations. * Review hospital… more
- Mohegan Sun (Wilkes Barre, PA)
- …placings. Check in with the Horseman's bookkeeper before the first race to see if any claims have been entered, and bring any such claims to the Judges stand. ... When Horseman's bookkeeper calls on any other claims the runner with pick them up as well. Any other errands necessary during the racing program, for example;… more
- Sharecare (Albany, NY)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization...experience in healthcare, preferably helping members navigate benefits and claims , OR held one or more of the following… more
- Blue KC (Workman, MN)
- …network. + Ensures proper payment of pre-transplant, transplant, and post-transplant claims . Sets up transplant pre-pay review for each individual claim. Reviews ... global payment process to ensure accurate payment. Responds to claims inquiries. + Accurately reports potential high cost members...+ Intermediate level knowledge of FACETS UM, CM and claims applications. + Experience in working with Health and… more